— 生理適應 · EASY · MCQ —
護理師針對新造口病人進行出院指導。關於造口照護，病人必須知道下列哪項資訊？
A nurse is providing discharge instructions to a patient with a new colostomy. Which information is essential for the client to know about stoma care?
- AEmpty the pouch when it is 1/3 to 1/2 full✓ 正解當集便袋裝至 1/3 到 1/2 滿時排空
- BStoma size should remain constant forever造口大小應永遠保持不變
- CUse oil-based skin creams to protect the skin使用油性護膚霜來保護皮膚
- DThe stoma should appear dark purple or black造口應呈現深紫色或黑色
— Explanation · 中文詳解 —
造口裝置應在糞便積存 1/3 至 1/2 時清空，以防止重量過重導致造口周圍皮膚剝離或滲漏。紫色或黑色造口暗示血液循環不良（壞死），需立即回報；油性軟膏會影響底板黏著度；術後早期造口會消腫，尺寸會隨時間改變。
The ostomy pouch should be emptied when it is one-third to one-half full to prevent the weight of the contents from detaching the barrier from the skin. Stoma size typically decreases after surgery due to reduced edema, and oil-based products should be avoided as they compromise the adhesive seal of the pouch.
✦ 台美臨床差異
美國有造口護理師（WOCN）專門負責；台灣多由專科護理師或一般護理師協同負責，專業分工略有差異。